LISA K BYSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160104

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BYSTROM

Business Name

LISA K BYSTROM

Original Issue Date

04/12/2005

Effective Date

02/27/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019